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Deactivated NPI 1134103955 Deactivated / Inactive NPI Male Practitioner

Dr. Jacqui Botkin , OD

Optometrist • Davie, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacqui Botkin has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2005
NPI Deactivation Date March 01, 2023
Total Practice Duration ~18 Years of Practice (2005 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jacqui Botkin, OD was a registered Optometrist practicing in Davie, FL. Throughout an active medical career spanning 18 years, Dr. Botkin provided care at the practice location at 10650 W STATE ROAD 84 until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

10650 W State Road 84
Suite 100

Davie, FL 333244235

Telephone 9544969151
Fax 9544969152
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Davie, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
150 Specialists

Practicing in Davie, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL OP1720

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Gonzalez

Technician - Personal Care Attendant

NPI 1003243601
Enese Richburg

Technician - Personal Care Attendant

NPI 1013321181
Olga Mathurin

Technician - Personal Care Attendant

NPI 1013322429
Ada Gainza

Technician - Personal Care Attendant

NPI 1013344563
Vanessa Sylpha

Technician - Personal Care Attendant

NPI 1013359850
Pauline Bakana

Technician - Personal Care Attendant

NPI 1043647530

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active October 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location October 10, 2012

Registered at 10650 W STATE ROAD 84, SUITE 100, DAVIE, FL 333244235 (Tel: 9544969151)

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Updated Business Mailing Address October 10, 2012

Registered at 12000 SW 19 CT, DAVIE, FL 33325 (Tel: 9544742297)

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Provider Name / Credentials Updated October 10, 2012

Recorded as JACQUI BOTKIN, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2012

Optometrist (License #OP1720 in FL)

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Initial NPI Registration & Enumeration December 05, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134103955
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2005
Last Update: October 10, 2012
Deactivation Date: March 01, 2023

Mailing Address

12000 Sw 19 Ct

Davie, FL 33325

Phone: 9544742297

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.